Which immunization combination should be given in one visit to a 5-year-old who has never had vaccines?

Which immunization combination should be given in one visit to a 5-year-old who has never had vaccines?

• A. DTaP, IPV, MMR, Varivax, and Hep B (and should return in 6 weeks)
• B. Tetramune, IPV, MMR, and Varivax (and should return in 6 weeks)
• C. DTaP, IPV, MMR, Varivax, and Hep B (and should return in 12 weeks)
• D. DTaP, IPV, MMR, Varivax, and Hep B (and should return in 6 weeks)

Answer: (A)

When a child has never been vaccinated, you can start catch-up immunizations at one visit and give all age-appropriate vaccines that are due, provided there are no contraindications. For a 5-year-old, that typically includes DTaP, IPV, MMR, Varicella (Varivax), and Hepatitis B. Administer these vaccines in one sitting using separate injection sites. The Hepatitis B dose is the first in its series, and the second dose should be given about 1–2 months later; scheduling the return visit at about 6 weeks fits this interval. The other vaccines (MMR and Varicella) will require their own subsequent doses at later visits according to the standard schedule, but starting them now ensures rapid catch-up. Older or less appropriate options may rely on legacy combination products or omit Hepatitis B, or suggest a dosing interval that isn’t aligned with guidelines, so they aren’t the best fit for a one-visit catch-up.

When a child has never been vaccinated, you can start catch-up immunizations at one visit and give all age-appropriate vaccines that are due, provided there are no contraindications. For a 5-year-old, that typically includes DTaP, IPV, MMR, Varicella (Varivax), and Hepatitis B. Administer these vaccines in one sitting using separate injection sites. The Hepatitis B dose is the first in its series, and the second dose should be given about 1–2 months later; scheduling the return visit at about 6 weeks fits this interval. The other vaccines (MMR and Varicella) will require their own subsequent doses at later visits according to the standard schedule, but starting them now ensures rapid catch-up.

Older or less appropriate options may rely on legacy combination products or omit Hepatitis B, or suggest a dosing interval that isn’t aligned with guidelines, so they aren’t the best fit for a one-visit catch-up.